RT Journal Article
SR Electronic
T1 Progressive cranial neuropathy and uterine involvement in myeloid sarcoma
JF BMJ Neurology Open
JO BMJ Neurol Open
FD BMJ Publishing Group Ltd
SP e000006
DO 10.1136/bmjno-2019-000006
VO 1
IS 1
A1 Anthony Khoo
A1 Thomas Kimber
A1 Penelope Cohen
A1 Roula Ghaoui
YR 2019
UL http://neurologyopen.bmj.com/content/1/1/e000006.abstract
AB A rare extramedullary manifestation of haematological malignancy, myeloid sarcoma is most commonly seen in patients with acute myeloid leukaemia. We report on an adult patient who presented with an atypical phenotype of progressive cranial neuropathy without blood or bone marrow involvement, and in whom obtaining material for pathological diagnosis was made challenging by unusual findings of absent fluorodeoxyglucose-positron emission tomography avidity and involvement of sites not readily accessible to biopsy (orbital apex and cauda equina). The eventual diagnosis was obtained through biopsy of the uterine cervix before being verified on repeat lymph node and cerebrospinal fluid sampling prior to initiation of chemotherapy.